CMS Price Transparency Data
Prostate cancer screening (blood test)
Facility: Mercy Health Rehabilitation Hospital
Billing Code: G0103 (HCPCS)
The BaseRate · fair price medium confidence
A fair price for this
$47
about 2.5× the $19 Medicare rate · typically $19–$92
modeled estimate · not a bill or quote
Medicare pays $19 Fair price $47 Cash price $87 Hospital's list price $87
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $87 | 451% |
| Blue Cross Blue Shieldmajor | $87 | 451% |
| Aetnamajor | $87 | 451% |
| Cignamajor | $87 | 451% |
| Humanamajor | $87 | 451% |
| Ambetter (Centene) | $87 | 451% |
| CareSource | $87 | 451% |
| Devoted Health | $87 | 451% |
| Medical Mutual | $47 - $87 | 243% |
| Molina | $87 | 451% |
| UPMC Health Plan | $87 | 451% |
| + 1 smaller / regional plan | $59 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Mercy Health Rehabilitation Hospital
Compare: Prostate cancer screening (blood test) at other OH hospitals
- Southern Ohio Medical Center · Portsmouth $19
- Mount Carmel St Ann's · Westerville $19
- Wilson Memorial Hospital · Sidney $19
- Ohiohealth O'Bleness Hospital · Athens $19
- Mount Carmel East & West · Columbus $19
- Wooster Community Hospital · Wooster $19
- Genesis Hospital · Zanesville $19
- Parma Community General Hospital · Parma $19
Insurance negotiated median for the same procedure, sorted lowest first.